| Imran Sharief, M.d., Inc. | |
|
14642 Newport Ave Ste 250 Tustin CA 92780-6099 | |
| (248) 819-2634 | |
| (951) 272-9924 |
| Full Name | Imran Sharief, M.d., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 14642 Newport Ave Ste 250, Tustin, California |
| Authorized Official Name and Position | Imran Sharief (PRESIDENT) |
| Authorized Official Contact | 9512785590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imran Sharief, M.d., Inc. Po Box 77790 Corona CA 92877-0126 Ph: (951) 278-5590 | Imran Sharief, M.d., Inc. 14642 Newport Ave Ste 250 Tustin CA 92780-6099 Ph: (248) 819-2634 |
| NPI Number | 1396906095 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 7012046188 |
|---|---|
| Medicare Enrollment ID | O20100527000649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396906095 | NPI | - | NPPES |
| A81138 | Other | CA | CALIFORNIA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | A81138 (California) | Primary |
| Provider Name | Imran Sharief |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174694426 PECOS PAC ID: 5890762553 Enrollment ID: I20080226000701 |
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